Annals of Family Medicine

NOVEMBER 20, 2024

Context: Understanding patients’ experience accessing primary health care (PHC) is necessary in order to move toward better service organization and more equitable PHC access. This cross-sectional study builds on survey data collected in multidisciplinary PHC clinics. 104 PHC clinics across 14 regions of Quebec, Canada.

Nurse Practitioner 130

Nurse Practitioner Clinic Family Physician Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patient Important Outcomes (PIOs) was first introduced in the literature with the criticism that research studies were designed with outcomes relevant to health care providers, but not relevant/important to patients. Study Design & Analysis: Mixed methods study employing physician survey and patient focus groups.

Diabetes 130

Diabetes Patients Patient-Centered Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults with multiple chronic conditions are underrepresented in clinical trials, with especially low enrollment of Hispanic/Latino populations. Objective: Understand the perspectives of older Hispanic/Latino adults regarding clinical trial participation. The mean age was 72.3 Participants took a mean of 7.1 (SD=3.6)

Clinic 130

Clinic Chronic Condition Transportation Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. Study Design A behavioral health curriculum was designed for second year residents.

Education 130

Education Primary Care Physician Primary Care Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: We aimed to compare medication review activities between private and public clinics. Setting: One private primary care clinic and two clinics of a safety net hospital system that serves inner-city populations with significant socio-economic challenges. vs 35.4%) and less likely Hispanic (20.7 vs 41.1%) background.

Clinic 130

Clinic Medical Primary Care Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Despite efforts to improve patient-clinician relationships, access to care, and healthcare workflows, annual rates of missed appointments (MA) in the U.S Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics.

Appointment 130

Appointment Primary Care Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Primary care must address the complex needs of patients with multiple chronic conditions, given 40% of patients seen in primary care have behavioral health needs. Integrated Behavioral Health (IBH) is associated with improved access and engagement in mental health services and mental and physical health patient outcomes.

Chronic Condition 130

Chronic Condition Primary Care Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To determine the effect of a standardized patient-delivered intervention on low-value imaging among primary care patients with acute low back pain. Study Design: Randomized clinical trial (NCT 04255199). Setting: 10 primary care clinics in Sacramento, CA. 0.81)] and conveying empathy [aSD 0.85 (0.40-1.30)].

Clinic 130

Clinic Primary Care Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Large-scale electronic health record (EHR) programs have reported a number of issues to their implementation in primary care including physician patient-centredness and clinical performance. Setting: An academic primary care clinic based in a hospital. Population: Ten resident physicians and six staff physicians.

Electronics 130

Electronics Education Patients Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context When it comes to advanced directives, research has shown that providers should initiate the conversation for their patients, however completion rates for these conversations are very low. It is important to decrease these barriers for providers, so that patients are able to benefit from these conversations.

Medical Student 130

Medical Student Education Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Ontario, multiple organizations operate under a ‘boutique’ medicine model where patients pay a block or annual fee to access primary care services. Little is known about the characteristics of physicians and patients participating in boutique clinic practice models. Study Design and Analysis.

Clinic 130

Clinic Referral Primary Care Physician Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach. Setting or Dataset: Clinics: AF Williams Family Medicine, Lowry Internal Medicine; EPIC data; legal records.

Medical 130

Medical Referral Screening Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Retrospective chart search of the electronic medical records of a specific sub-group of patients at UNMC. Number of patients who meet inclusion criteria at Family Medicine Clinics: 6,551 Patients. Setting: Criteria Time Frame: 2013-01-01 to 2023-12-31. are White or Caucasian.

Internal Medicine 130

Internal Medicine DO Family Medicine Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context With the goal of advancing health equity, the US healthcare sector has expanded activities to identify and intervene in patients’ experiences of social adversity, sometimes referred to as "social care". Yet, no measure of patients’ experiences with social care has been developed to date.

Patients 130

Patients Screening Relationship Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Prenatal care can be difficult for patients to accomplish, with frequent visits and time-sensitive health screenings. During the COVID-19 pandemic, many clinics shifted to a virtual visit format. Patient interviews, providing qualitative information to augment study findings.

Patients 130

Patients Clinic Utilities Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Community health worker (CHW) interventions show promising outcomes for T2D and HTN control particularly among low income and historically marginalized patients. However, studies on the generalizability and implementation of CHW interventions in clinical and community settings are limited. Setting 3 primary care clinics in SW Virginia.

Hypertension 130

Hypertension Community Diabetes Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

The collective experience of exemplary, compassionate physicians, the narrative experiences of patients, as well as the documented science of healing clearly verifies the reality that much of healing occurs through the listening, trust, optimism and communication of compassion that comes through relationships.

Relationship 130

Relationship Family Medicine DO Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The impact of the COVID-19 pandemic on patients with acute kidney injury (AKI) in Academic Medical Centers (AMCs) remains unclear. Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. The mean observed LOS was 7.1

Patient-Centered 130

Patient-Centered Patients Medical Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Targeted users of mHealth tools include clinicians, patients, and caregivers. In clinical settings, uptake of mHealth tools has varied, with limited use explained, in part, by suboptimal adaptation of the tool and the implementation processes. Ultimately, the synthesis included 29 reviews (16 systematic, 10 scoping, 1 rapid, 2 other).

Patients 130

Patients Clinical Practice Electronics Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Our study investigates ID prevalence in Alberta from 2010 to 2022 and its association with patient and provider characteristics. We hypothesize that the prevalence of ID in Alberta has been increasing over the past decade based on clinical observations and anecdotes. 2020-2022).

Clinic 130

Clinic Primary Care Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Population Studied: 13 urban and rural primary care practices located across Mayo Clinic sites in Minnesota, Wisconsin, and Florida.

Primary Care 130

Primary Care Referral Routine Screenings Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Continuous quality improvement (CQI) is a promising method for improving the healthcare system and responding effectively to changing patient needs. Champions in CQI refer to individuals who lead or facilitate such initiatives, and they seem to be a key ingredient in promoting quality improvement in Primary healthcare Clinics (PHC).

Healthcare 130

Healthcare Clinic Individual Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Economic analysis utilized "difference in difference" methodology comparing individuals who received legal services to control groups: a) in the same clinic; b) in 12 other primary care clinics within the same health system. Clinics: AF Williams Family Medicine, Lowry Internal Medicine.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: The overarching objective of the MU is to enhance the delivery of high-quality care to a broader patient population. Population Studied: The populations included in our research are providers and staff working in the MU and aggregated data on patients seen at the MU practice.

Management 130

Management Primary Care Telehealth Hypertension 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design This study was a systematic review of randomized controlled trials to identify RCTs demonstrating successful interventions that used communication interventions to impact patient outcomes. Setting or Dataset We retrieved studies from Embase, Wiley, Cochrane, and MEDLINE published until February 2022.

Provider 130

Provider Patients Utilities Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: For many patients with long-COVID, primary care is the first point of interaction with the healthcare system. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking. Patients described two areas of experiences.

Healthcare 130

Healthcare Primary Care Patients Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Virtual visits have emerged as a new mode of accessing healthcare, however not all patients have equal access to virtual care. Patients who may benefit most from virtual care, such as those living in rural areas, may be at greatest risk of not being able to complete a clinical video visit with their provider.

Patients 130

Patients Appointment Utilities Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Persistent pain is experienced among nearly half of the patients with long COVID (LC). Objective: To document the lived experience of patients with LC pain, including how they access and receive healthcare, to improve services for LC pain evaluation and treatment.

Patients 130

Patients Insurance IT Mental Health 130

Alabama Academy of Family Physicians

JULY 24, 2024

This year’s event was a testament to the vibrant community of family physicians, medical students, residents, and healthcare professionals dedicated to advancing family medicine in Alabama. Her career before this includes significant positions across Alabama, showcasing her commitment to family medicine and rural health.

Medical Student 130

Medical Student Family Medicine DO Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

This makes determining HBPM accuracy of great clinical importance, but there is no established method of doing so in the office. Objective To introduce the novel approach of using a T-Connector between a patient’s HBPM and their physician’s office sphygmomanometer to permit a simultaneous blood pressure reading.

Hypertension 130

Hypertension Family Physician Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Patient messaging to providers has dramatically increased since the pandemic, leading to informatics efforts to categorize messages to facilitate more efficient review. Conclusion Clinicians generally lack the time to prioritize patient messages. The increased inbox burden has particularly impacted primary care physicians.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Respiratory infections are a prevalent health issue that concerns patients and stresses healthcare resources. To improve preventive first line healthcare, we need to understand the uptake and perspective of patients on vaccines. Vaccines can prevent several respiratory infections, but the uptake is variable. 63.3% (95%CI 55.6-70.3)

Primary Care 130

Primary Care Vaccination Family Doctor Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Post-Covid-19 Condition (PCC), or "long-Covid," is symptomatically complex and impacts several aspects of patient’s livelihoods. Population Studied: Using purposive sampling from a long-COVID clinic, we conducted semi-structured interviews with English-speaking, adult primary care patients describing symptoms of long-COVID.

Primary Care 130

Primary Care Patients Relationship Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

OBJECTIVE We assessed feasibility and patient-reported clinical outcomes of adjunctive use of SNI in ARS. Secondary: average rate of SNI use, percentage of participants who used SNI at least 50% of study days; perceived effect on sino-nasal symptoms; association of SNI use with validated clinical outcomes instrument severity score.

Clinic 130

Clinic Management Provider Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patient-oriented evidence supporting PrT is growing. PrT has historically been taught in mentored clinical settings and medical conferences, not in academic training programs. 8.5% (31) of Family Medicine programs reported that they include PrT in residency training.

Family Medicine 130

Family Medicine DO Patient-Centered Families 130

Integrated Care News by CFHA

MAY 1, 2025

That small win reminded me that artificial intelligence is already shaping the way our patients (and our families) search for health advice. Our Patients Are Already Using AI Many people now ask their first health question to a chatbot rather than to a clinician. Annals of Family Medicine , 23(1), 5–6.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Patient Navigator Program (PNP) is a unique medical student-run program providing services for persons experiencing homelessness (PEH) in Dallas, Texas, at United Gospel Mission (UGM) clinics.

Medical Student 130

Medical Student Patients Healthcare Utilities 130